Department of Psychiatry and Psychotherapy, University of Muenster, Albert-Schweitzer-Campus 1, Geb. A9, 48149 Muenster, Germany.
Klinik am Schlossgarten, Duelmen, Germany.
Psychiatry Res. 2017 Sep;255:314-320. doi: 10.1016/j.psychres.2017.05.053. Epub 2017 Jun 2.
Different aspects of self-stigmatization represent barriers for recovery in patients with psychosis disorders. It is unclear whether addressing patient's competence and control beliefs could attenuate the extent of self-stigmatization. The major aim of this study was to identify predictors of self-stigmatization derived from competence and control beliefs in patients (N = 80). Sociodemographic characteristics, clinical variables, competence and control beliefs and self-stigmatization were assessed among 80 patients with psychosis disorders. The cross-sectional data was analyzed by correlation and regression analyses. Results indicate deficits in self-concept of own competences, i.e. the capability of acting in new, difficult or ambiguous situations, resulting in also impaired self-efficacy and relatively increased externality in patients compared to a general population sample. Subjective well-being under neuroleptics, trait-anxiety and defining oneself as religious were the most influential predictors of competence and control beliefs. A weaker self-concept of own competences was also revealed as the strongest predictor of overall high self-stigmatization. Our results stress the importance of orienting treatment strategies towards strengthening the self-concept of own competences in patients in order to reduce self-stigmatization and enhance resilience.
自我污名化的不同方面代表了精神病患者康复的障碍。目前还不清楚解决患者的能力和控制信念是否可以减轻自我污名化的程度。本研究的主要目的是确定源于患者能力和控制信念的自我污名化的预测因素（N=80）。在 80 名精神病患者中评估了社会人口统计学特征、临床变量、能力和控制信念以及自我污名化。通过相关性和回归分析对横断面数据进行了分析。结果表明，与一般人群样本相比，患者在自身能力的自我概念方面存在缺陷，即行动于新的、困难或模糊情境的能力，导致自我效能感降低，而外在性相对增加。在抗精神病药物下的主观幸福感、特质焦虑和将自己定义为宗教人士是能力和控制信念的最具影响力的预测因素。较弱的自我能力概念也被揭示为总体高度自我污名化的最强预测因素。我们的研究结果强调了在治疗策略中注重增强患者自身能力的自我概念的重要性，以减少自我污名化并增强适应能力。
